Archive for February, 2009

More restructuring needed?

The recession is likely to drive a radical restructuring of London’s health economy, was the message conveyed by Professor Steve Smith (CEO of Imperial Healthcare NHS Trust) and Sir Robert Naylor (CEO of UCLH NHS Foundation Trust) at a seminar organised by Civitas today.

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Misdiagnosing the Cause of Present-Day Educational Failure

Alexander, Rose, et al can debate what schools should teach as much as they like, but no amount of tinkering with the National Curriculum will improve academic standards until and unless a far more important cause of poor educational attainment today is addressed.

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EU summit to challenge protectionism

The Eastern members of the European Union are holding a mini-summit prior to all EU Heads of States and Governments convening an emergency summit on 1st March 2009 to discuss protectionism, writes Kyial Arabaeva.  Mr. Mikolaj Dowgielewicz, Poland’s Europe Minister, told Poland’s PAP news agency: ‘We want to send a clear message that we support the European Union’s position in favour of defending the common market and that we are against protectionism.”

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Red Tories

In the latest issue of Prospect Phillip Blond makes a case for localism, but he seems to think his proposals require a rejection of liberalism, whereas in fact they are simply the natural outgrowth of liberal ideas. In particular he is grossly mistaken about some of the characteristics he attributes to liberalism. His article has provoked considerable criticism, including my defence of liberalism.

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Solving the wrong problem

Today the ‘biggest review in forty years’ of the primary curriculum, the Cambridge Primary Review, published its two-part special report today under the remit ‘The condition and future of primary education in England’. As ‘[i]n our [the Primary Review’s] evidence, the curriculum attracted more comment than any other issue,’ the Review findings, which are based on three years of quantitative and qualitative research, focus on the primary curriculum.

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Targets in healthcare: more harm than good?

One of the most pervasive beliefs in government is that quality in the NHS is a function of individuals who need buttons pressed and levers pulled by targets to deliver optimal performance. This is misguided. The most intractable problems in health care—the lack of communication, leadership, and teamwork; the lack of integration; and the lack of any meaningful, patient focused, quality framework—are systemic or cultural. And targets have only made them worse. If you treat people like knaves and pawns, they will behave like them.

Continued at bmj.com.

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